Loading chat...
NY A00879
Bill
Status
12/30/2022
Primary Sponsor
Richard Gottfried
Click for details
AI Summary
-
Removes the distinction between Title One and Title Two clinical peer reviewer requirements, applying a single definition across all utilization review and external appeal proceedings.
-
Requires physicians serving as clinical peer reviewers to possess a current non-restricted license under Article 131 of the Education Law and have five years of specialty experience.
-
Requires non-physician health care professionals to possess current licensure or certification under Title Eight of the Education Law and have five years of specialty practice experience.
-
Establishes specific qualifications for peer reviewers evaluating substance use disorder treatment and mental health conditions, requiring specialization in behavioral health and relevant treatment experience.
-
Requires non-physician clinical peer reviewers to be clinically supported by a physician with a current valid non-restricted medical license where applicable to their scope of practice.
Legislative Description
Relates to the definition of a clinical peer reviewer by clarifying that such term shall be applicable for the entire utilization review and external appeal article and means either a physician or a health care professional with certain qualifications.
Last Action
tabled
12/30/2022